S&C QCOR Hospice 2567s
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Hospice 2567s
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Time Interval

Please select the calendar year or years for which you would like data.

Note: Hospice 2567s data are available from October 2021 through March 2026.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific Hospice deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN

Use these filters if you want to search by a specific CMS Certification Number (CCN).

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys. Surveys can also be filtered by surveyor type - State Agency or Accrediting Organization - and by whether immediate jeopardy was cited.

CMS Certification Number Facility Name Address City State CMS Region Survey Date Surveyed By Survey Event ID Survey Type Statement of Deficiencies Report
▼ 161538 Pella Regional Health Center 404 Jefferson Street Pella IA 7 (Kansas City) 03/11/2025 State Agency 65646-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0518 Rights Of The Patient Standard
L0543 Plan Of Care Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0683 Discharge Or Transfer Of Care Standard
▼ 161538 Pella Regional Health Center 404 Jefferson Street Pella IA 7 (Kansas City) 03/18/2025 State Agency 65646-L2 Recertification
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments Memo
K0353 Sprinkler System - Maintenance And Testing Standard
K0712 Fire Drills Standard
K0923 Electrical Equipment ? Ground-Fault Circuit-Interrupter Protection Standard
▼ 161539 Burgess Health Center 1600 Diamond Street Onawa IA 7 (Kansas City) 06/26/2024 State Agency 63149-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0615 Competency Evaluation Standard
L0778 Coordination Of Services Standard
L0781 Coordination Of Services Standard
L0782 Orientation And Training Of Staff Standard
▼ 161544 Hospice Of Washington County 948 East 11th Street Washington IA 7 (Kansas City) 04/23/2024 State Agency 62A03-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0518 Rights Of The Patient Standard
L0530 Content Of Comprehensive Assessment Standard
L0549 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0778 Coordination Of Services Standard
▼ 161546 St. Anthony Regional Hospital And Nursing Home 1524 E Us Highway 30 Carroll IA 7 (Kansas City) 05/05/2022 State Agency 35QA11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0530 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0543 Plan Of Care Standard
L0545 Content Of Plan Of Care Standard
L0547 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0554 Coordination Of Services Standard
L0555 Coordination Of Services Standard
L0678 Content Standard
L0679 Authentication Standard
L0684 Discharge Or Transfer Of Care Standard
L0778 Coordination Of Services Standard
L0796 Criminal Background Checks Standard
L0798 Federal, State, Local Laws & Regulations Standard
▼ 161546 St. Anthony Regional Hospital And Nursing Home 1524 E Us Highway 30 Carroll IA 7 (Kansas City) 04/23/2025 State Agency 65B85-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0655 Professional Management Responsibility Standard
L0679 Authentication Standard
L0697 Label Dispose Storage Drugs Standard
L0712 Inpatient Care Provided Under Arrangements Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161546 St. Anthony Regional Hospital And Nursing Home 1524 E Us Highway 30 Carroll IA 7 (Kansas City) 05/27/2025 State Agency 65B85-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0543 Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0655 Professional Management Responsibility Standard
L0679 Authentication Standard
L0697 Label Dispose Storage Drugs Standard
L0712 Inpatient Care Provided Under Arrangements Standard
L0713 Inpatient Care Provided Under Arrangements Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161548 Ida County Iowamcommunity Hospice 700 East Second Street Ida Grove IA 7 (Kansas City) 06/15/2022 State Agency W47G11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0523 Timeframe For Completion Of Assessment Standard
L0530 Content Of Comprehensive Assessment Standard
L0531 Content Of Comprehensive Assessment Standard
L0533 Update Of Comprehensive Assessment Standard
L0545 Content Of Plan Of Care Standard
L0550 Content Of Plan Of Care Standard
L0553 Review Of The Plan Of Care Standard
L0555 Coordination Of Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0655 Professional Management Responsibility Standard
L0678 Content Standard
L0679 Authentication Standard
L0697 Label Dispose Storage Drugs Standard
L0781 Coordination Of Services Standard
▼ 161548 Ida County Iowamcommunity Hospice 700 East Second Street Ida Grove IA 7 (Kansas City) 05/20/2025 State Agency 6620F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments Memo
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0672 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition
▼ 161548 Ida County Iowamcommunity Hospice 700 East Second Street Ida Grove IA 7 (Kansas City) 06/30/2025 State Agency 6620F-H2 Recertification
Deficiency Tag Deficiency Description Tag Type
L0000 Initial Comments Memo
L0554 Coordination Of Services Standard
L0596 Counseling Services Standard
L0625 Hospice Aide Assignments And Duties Standard
L0626 Hospice Aide Assignments And Duties Standard
L0672 Content Standard
L0679 Authentication Standard
L0683 Discharge Or Transfer Of Care Standard
L0796 Criminal Background Checks Standard
L0797 Federal, State, Local Laws & Regulations Condition